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The campaign's goal is to create equitable workplaces and a culture where victims of gender discrimination or sexual harassment feel safe coming forward.
Postpartum depression (PPD) is the most common complication of pregnancy, and onset can occur at any time from pregnancy until up to 1 year post partum. Estimates of the prevalence of PPD in new mothers in the United States varied by state from 8% to 20% in 2012, with an overall average of 12%.
Texas joins a handful of other states, including Indiana, Arizona, and Maryland in adopting maternal care designations. While the ACOG consensus statement defines five designations, ranging from Birth Center to Level I (Basic Care) to Level IV, Texas law designates four levels of maternal care. It combines Birthing Center care and Level I designation.
A new study of obstetrics liability claims between 2013 and 2017 showed that 80 percent of obstetrics claims involved high clinical severity cases. Boston-based liability insurer Coverys analyzed 472 OB claims and found that in 24 percent of these cases, either the mother, infant or both died. Additionally, according to the report, 40 percent of obstetrics claims relate to management of labor and delivery. One issue is the lack of training and standardization when it comes to monitoring fetal heart patterns.
Four years ago, the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine released a joint consensus statement on maternal level-of-care designations (MLOCD). The goal of this was to standardize levels of maternal care as a means of improving maternal and infant outcomes.
Illinois recently released its Maternal Morbidity and Mortality Report. The report recommends, among other things, the establishment of maternal levels of care and clear policies within emergency departments to ensure pregnant and postpartum women consult with an obstetrical provider.
With the all of the appropriate attention on maternal health, what are some of the actions we can take to improve patient safety? OBHG Chief Medical Officer Dr. Mark Simon weighs in on “Rethinking the Delivery of Maternal Care.”
OBHG’s new OB hospitalist program at Phoebe Putney Memorial Hospital in Albany, Georgia proved its worth on the first day. Hours after the program launched, an expectant mother arrived in distress. She was immediately seen by Dr. Davis Sullivan, OBHG hospitalist and site medical director at Phoebe Putney.
Obstetrics is a highly-charged environment. Under the traditional “call model” of hospital obstetrics, siloed care can create an atmosphere ripe for error.
Today, OBHG Chief Medical Officer Dr. Mark Simon sent a letter to the House Ways and Means Committee raising concerns about the country’s maternal mortality rate. In his letter, Dr. Simon warned that one of the primary challenges to improving U.S. maternal-fetal outcomes is clinical discrepancies in how care is delivered for pregnant women.